Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.78 / $5,412.00 / $10,767.00	Facility		$1,292.78	$5,412.00	$10,767.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,260.19 / $1,292.78 / $6,751.45	Professional		$1,260.19	$1,292.78	$6,751.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,900.00 / $13,875.00 / $15,752.00	Facility		$10,900.00	$13,875.00	$15,752.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $798.85 / $1,016.57 / $1,432.18	Professional		$798.85	$1,016.57	$1,432.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $768.13 / $1,036.98 / $3,426.00	Professional		$768.13	$1,036.98	$3,426.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,014.77 / $6,017.73 / $7,421.86	Professional		$5,014.77	$6,017.73	$7,421.86
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,292.78 / $1,680.61 / $7,156.54	Facility		$1,292.78	$1,680.61	$7,156.54
Medcost Facility/Professional Professional Modifier Low / Median / High Price $658.35 / $9,723.00 / $13,614.07	Professional		$658.35	$9,723.00	$13,614.07
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,356.01 / $4,999.08 / $16,954.00	Facility		$1,356.01	$4,999.08	$16,954.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,356.01 / $4,999.08 / $16,954.00	Professional		$1,356.01	$4,999.08	$16,954.00
United Facility/Professional Facility Modifier Low / Median / High Price $12,301.00 / $20,974.00 / $40,876.00	Facility		$12,301.00	$20,974.00	$40,876.00
United Facility/Professional Professional Modifier Low / Median / High Price $820.63 / $1,172.33 / $2,544.86	Professional		$820.63	$1,172.33	$2,544.86